Academic
Hours
FACULTY OF
DENTAL
MEDICINE
DIVISION OF
ORAL PATHOLOGY
ADDRESS
Faculty of Dental
Medicine, 3th floor,
3 Hristo Botev Blvd.,
Plovdiv 4000, BULGARIA
GPS coordinates
N 42°08'05.1"
E 024°44'03.0"
E-MAIL
office@oralpathology.info
EDITION: February 2015
Practicals
I
Lectures
Semester Exam
DISCIPLINE
Oral Pathology
DIVISION OF
ORAL PATHOLOGY
Academic Hours in Years and Semesters
I year
Total
MEDICAL
UNIVERSITY,
PLOVDIV
Oral Pathology Syllabus
for English-Speaking Students
III
IV
III year
V
VI
IV year
VII
VIII
V year
IX
X
L P L P L P L P L P L P L P L P L P L P
VI 30 15 15
Type of Discipline:
Compulsory
Degree:
Master Degree
Forms of Training:
 Lectures,
 Practical Exercises,
 Clinical Demonstration,
 Self-Study.
1 1
Forms of Assessment:
Ongoing Monitoring, Monitoring
Tests, Semester Examination
Formation of Ongoing Monitoring:
Average assessment grade per
semester.
Aspects of Assessment:
 Participation in discussions,
 Monitoring tests.
Course Length:
One Semester (VIth)
Semester Examination:
Test, written and oral examination.
Academic Hours:
 15 Lecture hours,
 15 Exercise hours.
State Examination: NO
Training Methods:
Multimedia Presentations,
Discussions, Monitoring Tests,
Figures, Interpretation of Case
Reports, Practical Tasks Solving
www.oralpathology.info/en
II
II year
Tutor:
Department of
Periodontics
Habilitated Associated
Professor of Oral
Pathology
Assoc.Prof. Georgi
Tomov, PhD
1
MEDICAL
UNIVERSITY,
PLOVDIV
FACULTY OF
DENTAL
MEDICINE
DIVISION OF
ORAL PATHOLOGY
Annotation
Oral Pathology is a non-surgical
specialty that includes investigation,
diagnosis and therapeutic
management into medically related
oral diseases and the oral and
maxillofacial manifestations of
systemic diseases. The discipline
concerned with the oral health care of
patients with chronic recurrent and
medically related disorders of the oral
and maxillofacial region, and with
their diagnosis and non-surgical
management. It is also concerned
with the investigation of the
pathogenesis of these disorders
leading to understanding which may
be translated into clinical practice.
Course Description
The course consists 30 academic
hours:
 15 hours of lectures;
 15 hours of exercises.
Evaluation of the Knowledge
Formed by the average current
rating, assessment of the tests,
assessment of the practical tasks,
and assessment of the theory exam.
DIVISION OF
ORAL PATHOLOGY
Aspects of Assessment:
 Participation in discussions;
 Tests;
 Description of microscopic
preparations;
 Result of exam.
ADDRESS
Faculty of Dental
Medicine, 3th floor,
3 Hristo Botev Blvd.,
Plovdiv 4000, BULGARIA
Aids in Teaching
Multimedia presentation, tests,
microscopic observations, clinical
demonstrations
GPS coordinates
N 42°08'05.1"
E 024°44'03.0"
Purpose of the Curriculum
On completion of semester the
E-MAIL
office@oralpathology.info
student must be capable of history
taking, extraoral and intraoral
physical examination, interpretation
of investigations, diagnosis and
treatment planning at non-specialist
level.
Tasks of the Program
The five aspects in which students
are expected to gain experience
include:
 Diagnosis and management of
diseases specific to the orofacial
region;
 Diagnosis and management of
patients with orofacial
manifestations of systemic
disease;
 Management of medically
compromised patients who require
oral health care;
 Development of those practical
skills necessary for the practice of
the oral pathology;
 To develop an area of expertise
and research skills necessary for
the investigation of conditions
which present to oral physicians.
Expected Results
 The student will have the basic
necessary skills to understand,
diagnose, and treat non-surgically
diseases specific to the orofacial
region and to diagnose and
manage patients with orofacial
manifestations of systemic
diseases.
 The student will be in a position to
recognize health problems which
require interdisciplinary
management and collaboration
with other specialists outwith the
oral medical field and be capable
of initiating appropriate referral.
SYLLABUS FOR THE EXAM
EDITION: February 2015
www.oralpathology.info/en
2
MEDICAL
UNIVERSITY,
PLOVDIV
FACULTY OF
DENTAL
MEDICINE
Syllabus For The Exam
1. Oral cavity – anatomical and
physiological specificities.
Common pathological
processes affecting the
epithelium and connective
tissue during oral cavity
diseases.
2. Classification of oral mucosa
lesions.
DIVISION OF
ORAL PATHOLOGY
3. Methods for examination in
oral cavity diseases.
Anamnesis and clinical
examination.
4. Methods for examination in
oral cavity diseases.
Paraclinical examination –
interpretation. Supravital
staining of oral mucosa.
DIVISION OF
ORAL PATHOLOGY
ADDRESS
Faculty of Dental
Medicine, 3th floor,
3 Hristo Botev Blvd.,
Plovdiv 4000, BULGARIA
GPS coordinates
N 42°08'05.1"
E 024°44'03.0"
E-MAIL
office@oralpathology.info
EDITION: February 2015
5. Quantitative and qualitative
saliva examination (рН, buffer
capacity, microbial
contamination). Clinical
importance. Diagnosing eating
disorders.
6. Pathological changes in oral
cavity as a result of external
noxa (traumatic, chemical,
thermal, radiation and
electricity).
7. Pathological changes in oral
cavity as a result of addictions
(tabacism, drug abuse,
alcoholism).
8. Etiology, pathogenesis and
symptomatic of changes in
oral cavity in mycotic
infections. Oral candidiasis –
acute forms. Diagnostic and
treatment.
www.oralpathology.info/en
9. Etiology, pathogenesis and
symptomatic of changes in
oral cavity in mycotic
infections. Oral candidiasis –
chronic forms. Diagnostic and
treatment.
10. Etiology, pathogenesis and
symptoms of changes in oral
cavity in infectious diseases.
Viral infectious diseases with
oral manifestations.
Gingivostomatitis herpeticа,
Herpes simplex, Herpangina
and Hand, foot and mouth
disease.
11. Etiology, pathogenesis and
symptoms of changes in oral
cavity in infectious diseases.
Viral infectious diseases with
oral manifestations. Varicella
and Herpes Zoster, Infectious
moninucleosis, influenza,
measles.
12. Etiology, pathogenesis and
symptoms of changes in oral
cavity in infectious diseases.
Bacterial infectious diseases
with oral manifestations.
Scarlatina, actinomycosis,
syphilis and tuberculosis.
13. Ulcerative diseases of oral
mucosa – etiology and
pathogenesis. Classification of
oral mucosa aphthous ulcers.
Diagnosis, differential
diagnosis and treatment
considerations.
14. Ulcerative diseases of oral
mucosa – etiology and
pathogenesis. Classification of
oral mucosa ulcers.
3
radiotherapy. Preventive and
treatment strategies.
Diagnosis, differential
diagnosis and treatment
considerations.
MEDICAL
UNIVERSITY,
PLOVDIV
FACULTY OF
DENTAL
MEDICINE
DIVISION OF
ORAL PATHOLOGY
24. Oral symptoms in eating
disorders. (bulimia, anorexia
and bigorexia). Preventive
and treatment strategies.
15. Dermatostomatitis.
Vesiculobullous diseases
affecting oral cavity.
Diagnostic and treatment
modalities.
25. Lips disorders (congenital,
inherited, acquired and
disorders with unknown
etiology). Diagnosis,
differential diagnosis and
treatment considerations.
16. Precancerous lesions obligate and facultative.
Diagnosis, differential
diagnosis and dentist's
responsibilities.
26. Tongue disorders (congenital,
inherited, acquired and
disorders with unknown
etiology). Diagnosis,
differential diagnosis and
treatment considerations.
17. Pigmented lesions of oral
mucosa. Classification.
Diagnosis, differential
diagnosis and dentist's
responsibilities.
27. Oro-facial syndromes and
rare diagnosed diseases with
oral manifestations. Steven –
Johnson and Behçet
syndromes.
18. Oral manifestations of
endocrine disorders. Dentist's
responsibilities.
19. Diabetes and oral health.
Dentist's responsibilities.
28. Oro-facial syndromes and
rare diagnosed diseases with
oral manifestations. Mikulicz
and Sjogren syndromas.
20. Pregnancy and oral health.
Dentist's responsibilities.
DIVISION OF
ORAL PATHOLOGY
ADDRESS
Faculty of Dental
Medicine, 3th floor,
3 Hristo Botev Blvd.,
Plovdiv 4000, BULGARIA
GPS coordinates
N 42°08'05.1"
E 024°44'03.0"
E-MAIL
office@oralpathology.info
EDITION: February 2015
www.oralpathology.info/en
21. Oral manifestations of renal
and urinary tract disorders.
Transplanted patients.
Dentist's responsibilities.
29. Oro-facial syndromes and
rare diagnosed diseases with
oral manifestations.
Melkersson – Rosenthal and
Reiter syndromes.
22. Oral manifestations of HIV
and AIDS. Diagnostic and
treatment considerations.
30. Oro-facial syndromes and
rare diagnosed diseases with
oral manifestations. Down,
Paplillon – Lefevre and Lazy
leucocyte syndromes.
23. Oral pathology in oncological
patients. Effects of
chemotherapy and
Final examination consists of the
following elements:

Placement test of 20 questions.
(20 minutes duration).70% correct
answers are conditional to
continue.

Written examination consists of
one question (one hour duration).
The topics are relevant to subject
syllabus.

Viva voce is the final part in order
to assess the candidate for
comprehension, analytical
approach, expression and
interpretation of data. It includes
all components of course content.
4
Lecture Program Of The Course
MEDICAL
UNIVERSITY,
PLOVDIV
Workload: 15h lectures (15 lectures of 45 minutes each)
№
FACULTY OF
DENTAL
MEDICINE
DIVISION OF
ORAL PATHOLOGY
DIVISION OF
ORAL PATHOLOGY
ADDRESS
Faculty of Dental
Medicine, 3th floor,
3 Hristo Botev Blvd.,
Plovdiv 4000, BULGARIA
GPS coordinates
N 42°08'05.1"
E 024°44'03.0"
E-MAIL
office@oralpathology.info
EDITION: February 2015
www.oralpathology.info/en
TOPIC
HORARIUM
1. Oral cavity – anatomical and physiological specificities. Common
pathological processes affecting the epithelium and connective tissue
during oral cavity diseases.
45 min
2. Methods for examination in oral cavity diseases. Anamnesis and
clinical examination Diagnosis, differential diagnosis and treatment
plan build up. Interdisciplinary management and collaboration with
other specialists.
45 min
3. Pathological changes in oral cavity as a result of external noxa and
addictions.
45 min
4. Pathological changes in oral cavity as a result of bacterial and mycotic
infections.
45 min
5. Etiology, pathogenesis and symptoms of changes in oral cavity in viral
infectious diseases. Viral hepatitis – importance for dental practice.
45 min
6. Ulcerative diseases of oral mucosa.
45 min
7. Dermatostomatitis. Vesiculobullous diseases and collagenosis
affecting oral cavity.
45 min
8. Pigmented lesions of oral mucosa
45 min
9. Precancerous lesions and cancer in oral cavity.
45 min
10. Oral symptoms in vascular and hematological diseases. Oral
symptoms in endocrine disorders. Pregnancy and oral health.
45 min
11. Oral symptoms in renal and urinary tract diseases.
45 min
12. Oral symptoms in immunodeficiency conditions. HIV and AIDS. Oral
pathology in oncological patients.
45 min
13. Neurostomatological syndromes. Oral manifestations of psychiatric
disorders. Eating disorders.
45 min
14. Lips and tongue disorders.
45 min
15. Oro-facial syndromes and rare diagnosed diseases with oral
manifestations.
45 min
5
Practical Exercise Program
MEDICAL
UNIVERSITY,
PLOVDIV
FACULTY OF
DENTAL
MEDICINE
Workload: 15h practical exercises (8 exercises of 90 minutes each)
#1 EXE Topic: Histology of the oral mucosa. Common pathological
processes in the epithelium and connective tissue related
to different diseases of the oral cavity.
Practical part: Microscopic observation of the histological
samples of the most common diseases in the oral cavity.
#2 EXE Topic: Saliva
DIVISION OF
ORAL PATHOLOGY
DIVISION OF
ORAL PATHOLOGY
1. Theoretical part:
1.1. Salivary glands and saliva (quantity, composition,
functions)
1.2. Xerostomia - aetiology and clinical findings; Impact
on the oral mucosa and HDT. Treatment guidelines.
1.3. Importance of saliva as a biological material for oral
health assessment; Assays for testing saliva.
2.
2.1.
2.2.
2.3.
ADDRESS
Faculty of Dental
Medicine, 3th floor,
3 Hristo Botev Blvd.,
Plovdiv 4000, BULGARIA
GPS coordinates
N 42°08'05.1"
E 024°44'03.0"
E-MAIL
office@oralpathology.info
EDITION: February 2015
Practical part:
Clinical examination of salivary glands
Quantitative evaluation of saliva (sialometry)
Qualitative evaluation of saliva:
 pH evaluation of saliva (clinical examples for
alkaline and acidic pH)
 Evaluation of the buffering capacity of saliva;
clinical significance
 Evaluation of the microbial load of saliva; clinical
applications
 Saliva as a marker for diagnostic of certain
infectious diseases and drug abuse.
#3 EXE Topic: Oral Candidiasis
1.
Theoretical part – Aetiology and predisposing
factors; Pathogenesis; Clinical forms and treatment
(local and general)
2. Practical part – Methods of testing:
2.1. Taking material (sampling) for microbiological
examination
2.2. CAT- test (clinical demonstration)
www.oralpathology.info/en
6
#4 EXE Topic: Precancerous lesions and pigmented lesions
MEDICAL
UNIVERSITY,
PLOVDIV
FACULTY OF
DENTAL
MEDICINE
1.
Theoretical part - facultative and obligate
precancerous lesions in oral cavity. Pigmented
lesions.
2.
Practical part – Assessment of oral mucosa in
normal, precancer and cancer
Supravital staining
Chemiluminescent illumination (demonstration of
VELscope)
Oral exfoliative cytology
Biopsy – types and indications; Practical work on
animal material and clinical demonstration by
assistant
Filling out the pathology requisition form
2.1.
2.2.
2.3.
2.4.
2.5.
DIVISION OF
ORAL PATHOLOGY
#5 EXE Topic: Vesicle - bullous disease and ulcerative diseases of
the oral mucosa. Autoimmune diseases with
manifestations in the oral cavity.
1.
Theoretical part
2. Practical part
2.1. Demonstration of photodynamic therapy
2.2. Occlusive steroid therapy using individual plastic
stent - demonstration
DIVISION OF
ORAL PATHOLOGY
ADDRESS
Faculty of Dental
Medicine, 3th floor,
3 Hristo Botev Blvd.,
Plovdiv 4000, BULGARIA
GPS coordinates
N 42°08'05.1"
E 024°44'03.0"
E-MAIL
office@oralpathology.info
#6 EXE Topic: Oral manifestations of systemic diseases.
Endocrine system and excretory system diseases. HIV
and AIDS. Guidelines for dental treatment of patients with
comorbidities.
Practical part: Solving familiar and less familiar clinical
cases with self-explanation. Clinical demonstrations
#7 EXE Topic: Oral manifestations of systemic diseases. Diseases
of the hematopoietic system. Hypo- and avitaminosis.
Eating disorders. Guidelines for dental treatment of
patients with comorbidities.
Practical part: Solving familiar and less familiar clinical
cases with self-explanation. Clinical demonstrations
#8 EXE Authentication:
EDITION: February 2015
Recommended Literature
Krasteva A, Panov V, Tomov G,
Balcheva M, Madjova H, Dencheva
M, Kisselova A, Kolarov R. A textbook
of oral pathology for dental students.
(2014) Medinform Ltd., Sofia, ISBN
978-619-7164-02-2
www.oralpathology.info/en
Contact Person
Assoc.Prof. Georgi Tomov;
Department of Periodontology and
oral mucosa diseases, room 307.
E-mail: dr.g.tomov@gmail.bg
7